Objective:To explore the effects of detailed nursing based on diversified nursing needs guidance in patients with laparoscopic uterine fibroids.Methods A total of 98 patients with uterine fibroids who underwent laparoscopic surgery in our hospital from June 1，2021 to June 1，2022 were selected.According to the admission time，the patients were divided into study group(n=49)and conventional group(n=49).The routine group receivedroutine nursing intervention，and the study group received detailed nursing based on diversified nursing needs guidance on the basis of the routine group.The psychological symptoms，physiological stress，rehabilitation indicators，postoperative pain and complications were compared between the two groups.Results The scores of SAS and SDS in the study group were lower than those in the conventional group when entering the anesthesia room and after intervention(P＜0.05).The heart rate，mean arterial pressure and respiratory rate in the study group were lower than those in the conventional group(P＜0.05).The exhaust，ambulation and discharge time in the study group were shorter than those in the conventional group(P＜0.05).The VAS score of the study group was lower than that of the conventional group after intervention(P＜0.05).The total incidence of complications in the study group was lower than that in the conventional group(P＜0.05).Conclusions Detailed nursing based on diversified nursing needs guidance applied to patients undergoing laparoscopic uterine fibroid surgery can relieve patients'perioperative negative emotions，reduce the physiological stress and postoperative pain of patients，reduce the risk of complications，and promote the rehabilitation of the disease.

目的 完善并拓展YY0175系列单柄直板型金属手术冷刀的通配性及安全性,为降减人因失误,提升人机工效,主动防范手术刀间触性锐器伤提供参考.方法 创新研制由掣卸型滑梯尾俪槽并置通配体、免择向防溅型刀座及多功能偏尾卸刀型握柄构成的模块化稳拾舒持通配掣卸型手术刀柄,在原创的"斜坡尾"配合体采用相对安全的"低抬稳卸"法基础上,又新研了"滑梯尾"通配体及刀片掣卸型偏置柄尾独具匠心运用安全防崩御剚、降耗性能卓越的"单步抽卸"法安全通配掣卸各型刀片及柄尾"压翘"法稳拾舒持刀柄.结果 舒持刀柄益于稳拾舒握、通配利手、安全掣卸,达到设计目标.结论 舒持刀柄具有一柄多用、安全通配、单步掣卸、主动防护、御剚防崩、易携益储及平战通用的优越性.

目的 为克服YY0175单刃直板型金属手术冷刀无法独立一次性完整竭切疤瘢、繁琐低效的缺欠,研制并排叠置通配体多功能捷罄双切手术刀柄.方法 创新研制以"滑坡尾直卸式并排叠置通用配合体"为主动防护核心安全装置和人机化隐设了集约备械属具镂空握柄构成的多功能捷罄双切手术刀柄,并首创了术者可独立一次性完整彻底切净疤瘢的"双刃同步齐切"法,与普通刀柄对比验证效果.结果 实验模拟手术割切动物表皮,双切刀柄定宽同步的"齐切谱"广,术者独立单手一次性便捷完整切净疤瘢及单步直接抽卸手术刀片安全便捷、设计达标.结论 双切刀柄具有单手独控、舒握稳执、定宽切疤、降减皮损、愈痕美观、刀片通配、任向插装、单步直卸、一柄多用、携储两便、备械便捷及平战通用的优越性.

目的 针对国内外各型卸刀器操作繁复、性价比低、普及受限等缺欠,探讨安全御刺、优化简骤、降耗增效、防范及降减手术刀锐器伤的职业意外伤害隐患,保护医护人员健康.方法 以不同开口及材质的易拉罐作为隔离、卡卸及封储YY0174手术刀片的安全媒介替代品,对其安全性、便捷性、可行性及经济性进行相关研究.结果 以撕裂式矮梨口全马口铁易拉罐作为"隔卸储"锐利术械的集约一体化首选安全媒介,益于实现"一步式"安全霎卸即储刀片.结论 以饮料型易拉罐替代持针器实现"一步式"封闭式卡卸刀片优于传统的"端抬推退两步式"开放式卸除刀片,主动防范锐器伤并降低血源性感染的职业危害,优化流程、减骤增效、降耗环保,益于减少人因失误、实现医护安全目标.

目的 为克服YY0175普通手术刀柄无护刃安全装置且通体无孔、功寡难携的弊端,实现主动防护手术刀锐器伤.方法 阶梯式人机优化设计"主动防护型捷卸通配御刺滑鞘",并与普通刀柄一体化匹装后参照对比验证应用.结果 该护鞘具有安全御刺、磁吸利刃、护械抗损、通配通用、度量卡测、便携易储、防滑稳执、单手霎卸、整体洗消、一鞘多能及性价比高的优越性.结论 普通刀柄匹装实用且性价比高的御刺滑移式安全护鞘后,益于积极主动防范人因失误、职业伤害,平战通用,利于落实医患安全目标.

目的 为探索普通刀柄在模块优化、任向插装、刀片通配、易拾惬握、简骤捷卸和御崩防折等方面人机优化升级而设计了模块化双头任向泛配易拾捷卸型手术刀柄,旨在实现任向通配插装、精简卸刀步骤及防范锐器伤.方法 通过机械性能试验及动物体软组织模拟手术割切试验在稳持性、利手性、人机性、抗丢性、舒握性、集约性、磁吸性、隐拓性及性价比等方面与普通刀柄进行对照验证和评价.结果 捷卸刀柄的各项指标及综合性能均优于普通刀柄.结论 创新设计的双面并置同型异尾配合体及多功能集约握柄安全御崩、刀片通配、易拾捷卸、稳执惬握及一械多用功效优异,适于教学实训、巡回医疗、抢险救灾或野战外科应急卫勤保障.

目的:研究腹腔镜下子宫肌瘤剔除术的手术配合经验极其应用效果.方法:以2014年7月-2016年9月笔者所在科室接诊的40例腹腔镜下子宫肌瘤剔除术病例为研究对象,采用抽签法,将40例病例等分成甲、乙两组.甲组予以改进手术配合措施,乙组予以常规手术配合措施.分析比较两组术前焦虑程度、术中出血量、平均手术时间、术后感染率等指标.结果:两组手术均成功,且无1例出现手术意外.甲组术前SAS评分为(38.76±5.42)分,明显低于乙组的(52.71±6.83)分,甲组术中出血量与平均手术时间明显优于乙组,术后感染率明显低于乙组,差异均有统计学意义(P<0.05).结论:于腹腔镜下子宫肌瘤剔除术中积极应用改进手术配合措施,可显著提高患者手术实施的安全性,减少术后感染发生风险.